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Symptoms and Signs – Differential Diagnosis of Back pain
Trauma/fractures, strenuous activity
Younger patients (less than 40 year)
Prolapsed disc, ankylosing spondylitis, spondylolisthesis
Older patients (more than 40 year)
Osteoarthritis, spinal stenosis and spinal claudication, osteoporosis, Paget's
disease of bone, herpes zoster
Serious causes
Infection (TB, bacterial osteomyelitis)
Malignancy (metastasis, multiple myeloma)
Cord compression
Vascular/GI/pelvic
Aortic aneurysm, peptic ulcer, pancreatic cancer, renal disease, rectal cancer,
uterine tumours, pelvic inflammatory disease, endometriosis, ovarian
cyst
Trauma/fractures, strenuous activity
Younger patients (less than 40 year)
Prolapsed disc, ankylosing spondylitis, spondylolisthesis
Older patients (more than 40 year)
Osteoarthritis, spinal stenosis and spinal claudication, osteoporosis, Paget's
disease of bone, herpes zoster
Serious causes
Infection (TB, bacterial osteomyelitis)
Malignancy (metastasis, multiple myeloma)
Cord compression
Vascular/GI/pelvic
Aortic aneurysm, peptic ulcer, pancreatic cancer, renal disease, rectal cancer,
uterine tumours, pelvic inflammatory disease, endometriosis, ovarian
cyst
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